Nursing care of a postpartum woman who has hemorrhage within 2 hours after birth

Abstract

Abstract

            Background : Postpartum hemorrhage is a major obstetric complication, and it most often occurs immediately after birth or in the first 1-2 hours after birth. Postpartum hemorrhage is caused by other factors, including increased blood volume during pregnancy and anemia during delivery. In patients with severe anemia, blood loss of only 200 to 250 ml can cause death.

            Objective : To study and compare the use of community nursing processes for two postpartum hemorrhages.

            Methods : The study focused on the nursing care of two postpartum women who experienced hemorrhage within the first two hours after birth. Data was collected from medical records, interviews with patients and relatives, and observation. Content analysis is used to set nursing diagnoses, plan nursing actions, and evaluate nursing outcomes using Gordon's health model concept as a framework for study. 

            Results : Both case studies were of advanced maternal age, multiple pregnancies, and anemia. Both case studies had their health assessed according to Gordon's health plan and found a nursing problem, namely the risk of oxygen depletion in the fetus due to less oxygen reaching the uterus as well, and postpartum hemorrhage occurring as well due to uterine contractions. But there are different additional factors. Case study number 1 had a retained placenta, which is different from case study number 2, which had a precipitate labor as an additional factor. After the delivery of the placenta, the uterus contracted less in both case studies. In addition, there are nursing diagnoses that are similar and different according to the context of each individual. The nursing process addresses postpartum hemorrhage during childbirth.

Keywords : hemorrhage, 2 hours after birth.